| NPI | 1245435767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 75356) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-232481) |
| 207L00000X Anesthesiology (Licence: WI 101450-875) | |
| 207L00000X Anesthesiology (Licence: TX R5440) | |
| 207L00000X Anesthesiology (Licence: IN 01094867A) | |
| 207L00000X Anesthesiology (Licence: CA A120721) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-04-08 |